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26 Tex. Admin. Code § 558.282 - Client Conduct and Responsibility and Client Rights

TexasregulationTexas Health and Human Services Commission (HHSC)

What this rule requires your agency to do

  • 1The agency must adopt and enforce a written policy governing client conduct and responsibility and client rights. (26 TAC § 558.282)(26 TAC § 558.282)
  • 2The agency must establish a grievance process allowing clients to voice complaints without discrimination, reprisal, or fear of reprisal, and inform clients at admission that complaints may be directed to HHSC Complaint and Incident Intake (1-800-458-9858). (26 TAC § 558.282)(26 TAC § 558.282)
  • 3The agency must ensure the client's person and property are treated with consideration, respect, and full recognition of the client's individuality, and that the client is free from abuse, neglect, and exploitation by agency staff, volunteers, or contractors. (26 TAC § 558.282)(26 TAC § 558.282)
  • 4The agency must maintain confidential treatment of the client's personal and medical records. (26 TAC § 558.282)(26 TAC § 558.282)
  • 5The agency must give the client the right to be informed in advance about the care, treatment plan, expected outcomes, and any changes, and must obtain written consent from the client or the legal representative. (26 TAC § 558.282)(26 TAC § 558.282)
  • 6The agency must allow the client to participate in planning care or treatment and to refuse care and services, consulting the client before making changes. (26 TAC § 558.282)(26 TAC § 558.282)
  • 7The agency must provide written notice of the client's rights to the client or the client's legal representative before care or treatment is begun. (26 TAC § 558.282)(26 TAC § 558.282)

Applies to: personal care / personal assistance services and home health provided by licensed HCSSAs

Texas HCSSA licensing rule requiring licensed home and community support services agencies to adopt, provide written notice of, and enforce a client bill of rights covering informed consent, participation in care planning, respectful treatment, freedom from abuse/neglect/exploitation, confidentiality, and a reprisal-free grievance process.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.